DIVINE HEALTH CARE SERVICE

SHREVEPORT, LA
NPI1235584558
Entity TypeOrganization
Authorized ContactPATRICIA DICKERSON
Owner
318-869-1330
Organization Subpart ?No
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2016-04-25
Last Update Date2016-04-25
Business Address
DIVINE HEALTH CARE SERVICE
2940 YOUREE DR STEA
SHREVEPORT, LA 71104-3657
Phone number: 318-869-1330
Mailing Address
DIVINE HEALTH CARE SERVICE
2940 YOUREE DR STEA
SHREVEPORT, LA 71104-3657
Phone number: 318-869-1330